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Contact Information

SUSAN F THIBADEAU, PHD BCBA
100 SEA VIEW STREET
THE MAY CENTER
CHATHAM, MA02633
 Phone: 508-945-1147
 Fax: 508-945-2698
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SUSAN F THIBADEAU · (Female)

NPI Number 1851436562
Status Active
Credentials PHD BCBA
Entity Individual
Enumeration date 02/20/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • License # 1031075
  • MA License # 4406
  • ME License # PS1097
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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